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APPLICATI� .� �OR CONSTRUCI .aN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PFINT <br />rHEATING SYSTEM: iJ GAS U ELECTRIC ❑_ <br />BUILDING DEPARTMENT <br />259-8810 ' <br />I DEMOLITION I I COMBINATION I I BUILDING I 1 MECHANICAL <br />p`yryEp MaIIADD�E55 GITY Z�� ��IONE <br />i7�� i%42E^�`.� lo5DL1u�� ��� E�ez� rf `��2.3 �3�tL- <br />1EN�N1 IdRR A�DPE55 UtY ZIP PNONE <br />ARC111iF.CTO11�E5�GNER IAAIIAD[IRE55 CIiY ZiP PIIDNE <br />(�SZCt���ssRr�eC <br />GENER�LCONiR�CTOR IAnR�D�RESS CIiV ZIP PHONE <br />%a�� 1,9Es-TSFoOK '��'R���—' <br />MELIINUC�LCONiRACiOP �MAIY nDDRE 5 GITY ZIP PHONE <br />✓N' � � �� � � � <br />PIUMBINGCONLPACTOR MAILROOIIE55 CI1Y 21P PNONE <br />CONTR�Ci PR10E OF WOA <br />���' O� <br />UESCRIBE WOFN �NO SOl1ARE FWT,\GE INVOLVED <br />GONTRCT PERSON ANO PNONE NO <br />i I PLUMBING <br />LICENSE � <br />. <br />S1AtE LICENSE � <br />I I SIGN <br />�va.�� - <br />��� ��g,Fr.,� m-J� � I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />PqOPOSE� USE OF BVROING � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />RGSit.E�1�'-� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />LEGALDESGqIPi10NOFPeOPEliTY15HOWNBELOWOfi�fiM,11TWOGOPIES� WORK YVILL BL COMPIETED WITH WHE-THER SPEGFIFD HEREIN OR <br />�J �il (� _�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br />�pi_a2-- BLOCN OF �'--�--- AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW FEGUTATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />�/�� � �•, OWNER OF THIS PROPERTY TO PERFORM THE VlORK F�R WHICH <br />JI J APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />annce� t�z � o r+uMe¢n CONTRACTORS LAW 1827 RCW AN0296.200 WAC. <br />Cu.aZ ttic n <br />CON5IRUCTKIN 107�N tENDER. ADORE55. TELEPNONE NUMBEH '`,� /, ('� <br />X J <br />$IG'IAI'.I11( . .Y. � <br />PROJECTADDRE,^�6 nJ,o ._�'Lz r-✓ �c . . --.--.._.._. - <br />N0. <br />WATER CLOSET <br />BATHTUB <br />LAVATORY�WA51 <br />SHOWER <br />KITCf1EN SINK 8 <br />DISHWASHER <br />LAUNDRYTRAY <br />- DFINKING FOUNTAIN <br />�.. FIUOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SEFVICE—BAfi, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FE[ <br />FOR OFFICE USE ONLY: <br />FRON75[TBACN REARSETOACK <br />9_ I Ze� Ut Od <br />iONE LO7PRE� <br />�-� 983 / <br />Of LUNSf NO OF StORIES <br />'f�'_ l.l 7 <br />FlRE SPRINpLtNs, <br />.� <br />—a� ��U <br />fIRE AL�RM,REOD <br />RERSON <br />INLAMEOY PIRN$�P�noV�00Y <br />Jp <br />on.e /u/8�97 <br />MEG17AfiIGFL <br />FEE N0. TYPE OF EOUIPMEN' <br />�—� �ft NC—AlHNDLG UNITS—H.P. <br />� 2 FORCED AIR SYSTEIAS—B.T.U. <br />, � UNIT HEATERS—B.T.U. M <br />� 7_ CLOTHES DRYEflS _ <br />-�y WOOD STOVE <br />�' METAL FIREPL <br />$ FIREPLACEIN <br />HEAT PUMP <br />Y� GAS PIPING <br />SUB <br />E.A. <br />S <br />"!J/� i C .;i �J, �dy. �� <br />PL�NCNE'CN/NI1M5E'f1/ fE1E/ i1ECEIPI <br />s�oe�nPcK `Ya�7� Y�J� l� - <br />VACRN SIiE FEES <br />�ES � � N� pUILDING <br />aorv+xa Non<ownuxrur�s — <br />,�y/�" PLUMBING <br />F'� __ <br />PASEME r MECNANICAL <br />I ' ES C1 NO <br />ADDITIONAL PLAN CHECK <br />HEIGHi UMIIATION <br />� C� / <br />C�V OTHER <br />STATE 9UILDING SURCHARG[ <br />CITY OF EVERF.TT PUBLIC WORNS <br />LOCAL SALES <br />rax cooE is a�o TOtAL _ <br />l�%�.- � �_i <br />[� <br />� <br />